髂腹股沟联合K—L入路治疗骨盆骨折的临床研究

目的：探讨髂腹股沟联合K—L入路治疗骨盆骨折的临床疗效。方法：将符合标准的82例不稳定骨盆骨折患者随机分成两组，观察组（46例）采用髂腹股沟和K—L联合入路切开复位重建钢板内固定术治疗。对照组（36例）采用髂腹股沟入路切开复位重建钢板内固定术治疗，记录手术时间、术中出血量、输血量，用Matta标准评价骨折复位程度，用Brooker标准评价异位骨化。结果：观察组的手术时间明显长于对照组。术中出血量和输血量多于对照组（P〈0．05）；观察组28例达到解剖复住，13例复位满意，总满意率高达89．13％，显著高于对照组（P〈0．05）；观察组出现Brooker分级I级1例，Ⅱ级1例，总异位骨化发生率为4．35％，显著低于对照组（P〈0．05）。结论：采用经髂腹股沟和K-L联合入路切开复住重建钢板内固定术治疗不稳定骨盆骨折可获得良好效果。

Surgical Treatment of the Pelvic Fracture through a Combined Ilioinguinal and Kocher-Lengenbeck Approach

Objective： To explore the effect of the pelvic fracture through a combined ilioinguinal and Kocber-Lengenbeck approach. Method： 82 patients with the disease were randomly divided into two groups, patients in observation （46 cases ） group were treated by a combination of ilioinguinal and Kocher- Lengenbeck approach, while patients in control group （36 cases） were only treated by ilioinguinal approach. The operating time, the volume of intra-operative blood loss and blood transfusions were recorded. The reduction was radiologically evaluated based on the criteria described by Matta, and heterotopic ossification was radiologically evaluated by Brooker. Result： The operating time in observation group was significantly longer than that in the control group, and the volume of intra-operafive blood loss and blood transfusions in observation group were significantly more than that in the control group （ P〈0.05 } ; The total satisfaction rate of 89. 13% in observation group was significantly higher than that of 77.78% in control group （ P〈0.05 ） ; total heterotopic ossification rate of 4.35% in observation group was significantly lower than that of 13.89% in centrol group （P〈0.05）. Conclusion： Good clinical results can be obtained when a combined ilioinguinal and Koeher-Lengenbeck approach is applied to treat pelvic fracture.